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Provider 1306862461

NPI: 1306862461Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$11.8M

$11,781,748

Total Claims

122K

Beneficiaries

33K

3.7 claims/patient

Avg Cost/Claim

$96

Monthly Spending Trend

Yearly Spending

2018
$2.0M
+9%
2019
$2.2M
-25%
2020
$1.6M
-22%
2021
$1.3M
-1%
2022
$1.3M
+46%
2023
$1.8M
-9%
2024
$1.7M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 20 distinct procedure codes. The top code (H0019 (Behavioral health; residential, per diem)) accounts for 39% of total spending.

H0019Normal range

Behavioral health; residential, per diem

$4.6M

20K claims · 39.3%

Your Cost: $233.23/claim|Median: $357.16
0.7× median
H0018Normal range

Behavioral health; short-term residential, per diem

$2.0M

15K claims · 17.2%

Your Cost: $134.22/claim|Median: $467.51
0.3× median
H0012Top 10%

$1.7M

2,670 claims · 14.6%

Your Cost: $643.43/claim|Median: $295.95
2.2× median
S9976Normal range

$1.3M

37K claims · 11.4%

Your Cost: $36.78/claim|Median: $64.43
0.6× median
T1012Normal range

Alcohol/drug services, skills development

$326K

12K claims · 2.8%

Your Cost: $27.90/claim|Median: $40.78
0.7× median
H0004Normal range

Behavioral health counseling & therapy, per 15 min

$248K

3,823 claims · 2.1%

Your Cost: $64.92/claim|Median: $74.63
0.9× median
90837Top 25%

Psychotherapy, 60 minutes

$247K

2,209 claims · 2.1%

Your Cost: $111.84/claim|Median: $85.66
1.3× median
H0005Normal range

Alcohol and/or drug services, group counseling

$236K

5,321 claims · 2.0%

Your Cost: $44.43/claim|Median: $47.35
0.9× median
99213Top 10%

Office/outpatient visit, est. patient, low-mod complexity

$186K

2,263 claims · 1.6%

Your Cost: $82.19/claim|Median: $37.81
2.2× median
99212Normal range

Office/outpatient visit, low complexity

$168K

6,468 claims · 1.4%

Your Cost: $26.01/claim|Median: $25.06
1.0× median
90853Top 10%

Group psychotherapy

$141K

1,835 claims · 1.2%

Your Cost: $76.95/claim|Median: $25.02
3.1× median
99205Normal range

Office/outpatient visit, new patient, high complexity

$112K

1,001 claims · 1.0%

Your Cost: $112.19/claim|Median: $111.09
1.0× median
H0048Normal range

$105K

8,376 claims · 0.9%

Your Cost: $12.56/claim|Median: $13.25
0.9× median
H0001Normal range

Alcohol and/or drug assessment

$83K

648 claims · 0.7%

Your Cost: $128.71/claim|Median: $94.22
1.4× median
90832Top 25%

Psychotherapy, 30 minutes

$83K

1,492 claims · 0.7%

Your Cost: $55.47/claim|Median: $41.28
1.3× median
H0002Normal range

Behavioral health screening

$76K

1,638 claims · 0.6%

Your Cost: $46.46/claim|Median: $38.77
1.2× median
T1007Normal range

Alcohol/drug services, treatment plan review

$28K

238 claims · 0.2%

Your Cost: $119.40/claim|Median: $64.10
1.9× median
H0038Normal range

Self-help/peer services, per 15 minutes

$25K

899 claims · 0.2%

Your Cost: $28.14/claim|Median: $55.04
0.5× median
90834Top 25%

Psychotherapy, 45 minutes

$1K

12 claims · 0.0%

Your Cost: $87.00/claim|Median: $63.65
1.4× median
H0003Normal range

$375

15 claims · 0.0%

Your Cost: $25.00/claim|Median: $13.38
1.9× median
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